The 2011 Canadian Hypertension Education Program recommendations for the management of hypertension: blood pressure measurement, diagnosis, assessment of risk, and therapy

Rabi, D.M. et al. (2011) The 2011 Canadian Hypertension Education Program recommendations for the management of hypertension: blood pressure measurement, diagnosis, assessment of risk, and therapy. Canadian Journal of Cardiology, 27(4), 415-433.e2. (doi: 10.1016/j.cjca.2011.03.015)

Abstract

We updated the evidence-based recommendations for the diagnosis, assessment, prevention, and treatment of hypertension in adults for 2011. The major guideline changes this year are: (1) a recommendation was made for using comparative risk analogies when communicating a patient's cardiovascular risk; (2) diagnostic testing issues for renal artery stenosis were discussed; (3) recommendations were added for the management of hypertension during the acute phase of stroke; (4) people with hypertension and diabetes are now considered high risk for cardiovascular events if they have elevated urinary albumin excretion, overt kidney disease, cardiovascular disease, or the presence of other cardiovascular risk factors; (5) the combination of an angiotensin-converting enzyme (ACE) inhibitor and a dihydropyridine calcium channel blocker (CCB) is preferred over the combination of an ACE inhibitor and a thiazide diuretic in persons with diabetes and hypertension; and (6) a recommendation was made to coordinate with pharmacists to improve antihypertensive medication adherence. We also discussed the recent analyses that examined the association between angiotensin II receptor blockers (ARBs) and cancer.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Touyz, Professor Rhian
• Authors: Rabi, D.M., Daskalopoulou, S.S., Padwal, R.S., Khan, N.A., Grover, S.A., Hackam, D.G., Myers, M.G., McKay, D.W., Quinn, R.R., Hemmelgarn, B.R., Cloutier, L., Bolli, P., Hill, M.D., Wilson, T., Penner, B., Burgess, E., Lamarre-Cliché, M., McLean, D., Schiffrin, E.L., Honos, G., Mann, K., Tremblay, G., Milot, A., Chockalingam, A., Rabkin, S.W., Dawes, M., Touyz, R.M., Burns, K.D., Ruzicka, M., Campbell, N.R.C., Vallée, M., Prasad, G.V.R., Lebel, M., Campbell, T.S., Lindsay, M.P., Herman, R.J., Larochelle, P., Feldman, R.D., Arnold, J.M.O., Moe, G.W., Howlett, J.G., Trudeau, L., Bacon, S.L., Petrella, R.J., Lewanczuk, R., Stone, J.A., Drouin, D., Boulanger, J., Sharma, M., Hamet, P., Fodor, G., Dresser, G.K., Carruthers, S.G., Pylypchuk, G., Gilbert, R.E., Leiter, L.A., Jones, C., Ogilvie, R.I., Woo, V., McFarlane, P.A., Hegele, R.A., Poirier, L., and Tobe, S.W.
• College/School: College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
• Journal Name: Canadian Journal of Cardiology
• ISSN: 0828-282X
• ISSN (Online): 1916-7075
• Published Online: 27 July 2011